Advance Laparoscopy in Minimal Resource Settings: Experience from a Public Sector Hospital in a Lower Middle Income Country

2021 ◽  
Vol 04 (04) ◽  
Author(s):  
Muhammad Adeel Kaiser ◽  
Awais Amjad Malik ◽  
Danish Ali ◽  
Muhammad Qasim Farooq ◽  
Anwar Zeb Khan ◽  
...  
Keyword(s):  
Public Sector ◽  
Middle Income Country ◽  
Income Country ◽  
Middle Income ◽  
Lower Middle Income Country ◽  
Public Sector Hospital ◽  
Minimal Resource

An e-government framework for assessing readiness for public sector e-procurement in a lower-middle income country

2020 ◽  
Vol 26 (4) ◽  
pp. 742-761 ◽  
Author(s):  
Peter Adjei-Bamfo ◽  
Kwame Ameyaw Domfeh ◽  
Justice Nyigmah Bawole ◽  
Albert Ahenkan ◽  
Theophilus Maloreh-Nyamekye ◽  
...  
Keyword(s):  
Public Sector ◽  
Middle Income Country ◽  
Income Country ◽  
Middle Income ◽  
Lower Middle Income Country

Profile and outcomes of critically ill children in a lower middle-income country

2017 ◽  
Vol 35 (1) ◽  
pp. 52-55 ◽  
Author(s):  
Muhammad Irfan Habib ◽  
Khalid Mehmood A Khan
Keyword(s):  
Critically Ill ◽  
Respiratory Symptoms ◽  
Gastrointestinal Symptoms ◽  
Middle Income Country ◽  
Income Country ◽  
Critically Ill Children ◽  
Age Group ◽  
Middle Income ◽  
Lower Middle Income Country ◽  
Level 1

ObjectiveTo determine the clinical profile and outcome of critically ill children presenting to a paediatric ED in a lower middle-income country.MethodsWe performed a retrospective analysis of children (<14 years) presenting to the ED of the National Institute of Child Health, Karachi, between January and December 2014 who were assigned to acuity 1 (requiring immediate life-saving interventions) according to the Emergency Severity Index. Data included demographic variables, presenting complaints, interventions and outcomes in the ED.ResultsThere were 172 162 visits during the year. Of these, 13 551 (8%) were level 1. 64% of level 1 patients were transported to the ED without ambulance service. Neonates (0–28 days) constituted 48% of level 1 children; their most frequent presenting complaints were respiratory symptoms, followed by fever and reluctance to feed. Above the neonatal age group, the most common presenting complaints were gastrointestinal symptoms (with signs of hypoperfusion), followed by seizures, reluctance to feed and respiratory symptoms. 64% of children of >28 days presenting were malnourished. Interventions included cardiopulmonary resuscitation, application of bubble continuous positive airway pressure and endotracheal intubation. Overall mortality was 13%; 63% of all deaths were in the neonatal age group.ConclusionChildren with the highest triage acuity represent 8% of all visits to a paediatric ED. In this group, neonates account for nearly half of all the children, and more than half of all the deaths among critically ill children came in ED. A large proportion of high-acuity children are malnourished.

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